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Negotiating invisible lines: Cross-border emergency care in the rural north of Scandinavia
Norsk Geografisk Tidsskrift-Norwegian Journal of Geography ( IF 1.1 ) Pub Date : 2019-07-25 , DOI: 10.1080/00291951.2019.1645731
Tom Schwarzenberg 1
Affiliation  

Cross-border cooperation is increasingly practised as a spatial planning strategy in health care. This observation is emphasized in numerous reports on transboundary agreements in European border regions. While the projects hint at an ongoing contestation and reconfiguration of nationally bordered health care pathways, they have rarely been subject to critical geographical inquiry. Departing from contemporary border studies debates, the article addresses this gap by providing a nuanced perspective on the socio-spatial complexity of health care practices across Europe’s internal borders. The author demonstrates this empirically by focusing on a framework for emergency care assistance in the northernmost regions of Scandinavia. He uses a heuristic approach to borderscapes as assemblages, and conceptually argues that the strategic reconfiguration of emergency care provision through cross-border cooperation is not adequately captured by a narrative of dissolving topographically bordered sovereignty (i.e. the commonplace notion of overcoming national boundaries). Based on a qualitative analysis of motives, procedures and hurdles, the author concludes that the attempt to cope with demography and distance in rural northern health care formats a socio-spatial arrangement in its own right, a case-specific geography of emergency care that is characterized by a complex interplay between different sites and their multiple bordering trajectories.



中文翻译:

谈判无形线:斯堪的纳维亚北部农村地区的跨境紧急护理

跨界合作越来越多地作为卫生保健中的空间规划策略来实践。关于欧洲边境地区跨界协议的许多报告都强调了这一观点。尽管这些项目暗示着对国界医疗路径的竞争和重组,但它们很少受到关键的地理调查。与当代边界研究的辩论不同,本文通过提供跨欧洲内部边界的卫生保健实践的社会空间复杂性的细微差别的观点,解决了这一差距。作者通过集中研究斯堪的纳维亚半岛最北端的紧急护理援助框架来从经验上证明这一点。他使用启发式方法将边界景观组合在一起,从概念上说,通过跨境合作对紧急护理提供进行战略性重新配置并没有被解散具有地形边界的主权(即克服国界的常识)的叙述所充分抓住。在对动机,程序和障碍进行定性分析的基础上,作者得出结论,在北方农村医疗机构中应对人口统计学和距离问题的尝试本身就形成了一种社会空间安排,即一种针对特定情况的急诊地理,即其特点是不同站点及其多个边界轨迹之间存在复杂的相互作用。克服国界​​的普遍观念)。在对动机,程序和障碍进行定性分析的基础上,作者得出结论,在北方农村医疗机构中应对人口统计学和距离问题的尝试本身就形成了一种社会空间安排,即一种针对特定情况的急诊地理,即其特点是不同站点及其多个边界轨迹之间存在复杂的相互作用。克服国界​​的普遍观念)。在对动机,程序和障碍进行定性分析的基础上,作者得出结论,在北方农村医疗机构中应对人口统计学和距离问题的尝试本身就形成了一种社会空间安排,即一种针对特定情况的急诊地理,即其特点是不同站点及其多个边界轨迹之间存在复杂的相互作用。

更新日期:2019-07-25
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